Silastic joint arthroplasty of the great toe. A review of 228

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implants using the double-stemmed implant. Laird-L Clin-Orthop. 1990 Jun(255): 268-72 Various operations have been advocated in the treatment of hallux valgus (bunions) and other painful conditions affecting the great toe, e.g., osteoarthritis, rheumatoid arthritis, and deformity. Resection arthroplasty using a double-stemmed silicone implant has proved a satisfactory method. A retrospective review of 228 implants followed over a period of eight years (average, four years) showed complete patient acceptance in 89%.